Step 1: Initial Consultation and Fertility Assessment

The journey begins with an in-depth consultation with Dr. Chaitali Taware, where medical history, lifestyle factors, and prior fertility treatments are assessed. A series of tests, including hormone level evaluations, ultrasounds, and semen analysis, help determine the best course of action.

The personalized approach at our clinic ensures that each couple receives a treatment plan designed to optimize their chances of success.

Common Tests Conducted During Fertility Assessment

• Ovarian Reserve Testing – Determines the number and quality of eggs.

• Semen Analysis – Evaluates sperm count, motility, and morphology.

• Hormonal Blood Tests – Checks levels of reproductive hormones.

• Ultrasound Examination – Assesses the health of the uterus and ovaries.

• Hysterosalpingography (HSG) – Checks for blocked fallopian tubes.

Step 2: Ovarian Stimulation and Hormonal Support

Once the treatment plan is set, ovarian stimulation begins. This process involves administering hormonal medications to encourage the ovaries to produce multiple eggs, increasing the likelihood of successful fertilization. Throughout this phase, Dr. Taware closely monitors follicle development through ultrasound and hormone testing to determine the right time for egg retrieval.

Types of Medications Used for Ovarian Stimulation

1. Gonadotropins – Stimulate the ovaries to produce multiple eggs.

2. GnRH Antagonists/Agonists – Prevent premature ovulation.

3. Progesterone Support – Helps prepare the uterine lining for embryo implantation.

Step 3: Egg Retrieval Procedure

When the eggs reach optimal maturity, a minor surgical procedure called follicular aspiration is performed. Using ultrasound guidance, Dr. Taware extracts the eggs from the ovaries using a fine needle. This process is quick and performed under mild sedation to ensure comfort.

The collected eggs are then evaluated for quality before proceeding to fertilization.

Post-Retrieval Care

• Rest for a few hours before resuming daily activities.

• Hydration and light meals to aid recovery.

• Monitoring for any signs of complications, such as bloating or discomfort.

Step 4: Fertilization and Embryo Culture

In the laboratory, the retrieved eggs are combined with sperm for fertilization. Two primary fertilization methods are used:

1. Conventional IVF – The eggs and sperm are mixed naturally in a culture dish.

2. Intracytoplasmic Sperm Injection (ICSI) – A single sperm is directly injected into an egg, a method often used in cases of male infertility.

After fertilization, embryos are cultured in a controlled environment for several days before selecting the healthiest ones for transfer.

Embryo Grading

Embryo selection is based on grading criteria, ensuring the best embryos are chosen for implantation.

Step 5: Embryo Transfer

Embryo transfer is a critical step where the healthiest embryos are carefully placed into the uterus using a thin catheter. This is a painless procedure that does not require anesthesia.

Dr. Taware ensures that only the highest-quality embryos are selected, improving the chances of successful implantation.

Factors Affecting Successful Embryo Transfer

• Thickness of the uterine lining.

• Embryo quality and stage of development.

• Absence of uterine abnormalities.

Step 6: Post-Transfer Care and Pregnancy Monitoring

Following embryo transfer, the patient undergoes a waiting period before taking a pregnancy test. During this time, hormonal support may be provided to assist with implantation. Dr. Taware offers continuous monitoring to ensure a successful pregnancy.

Once pregnancy is confirmed, the clinic continues to provide specialized care, including regular ultrasounds, lifestyle guidance, and medical support to ensure a healthy pregnancy.

Lifestyle Recommendations Post-Transfer

• Avoid strenuous activities – Give the embryo time to implant.

• Maintain a balanced diet – Proper nutrition aids pregnancy success.

• Reduce stress levels – Meditation, yoga, or therapy can help.